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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that allow individuals to express their treatment preferences in situations where they cannot communicate their wishes. He emphasizes the importance of shared decision-making between doctors and patients in order to ensure that treatment aligns with patient desires. However, in circumstances where patients are unable to articulate their wishes—due to illness or emergencies—having predefined directives is crucial. He also highlights the importance of designating a trusted person, such as a spouse or sibling, to make decisions on behalf of the patient, ensuring that medical professionals know whom to consult for guidance.